| NPI | 1598846701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD433468) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME80257) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD433468) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-03-07 |